| NPI | 1134589328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FORSBERG President 512-636-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TX 32478) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |